Is the thought-action repertoire a viable intervention target in substance use populations?

Gen Hosp Psychiatry

Department of Psychiatry, Massachusetts General Hospital, 151 Merrimac Street, 6th Floor, Boston, MA 02114, USA; Harvard Medical School, 25 Shattuck Street, Boston, MA 02115, USA. Electronic address:

Published: May 2020

Objective: This study examined if general population findings of positive correlations between happiness and breadth of thought-action repertoire (TAR) hold in substance use populations, and tests if the TAR is a modifiable intervention target.

Methods: Using data from a randomized online survey on 468 adults in recovery from problematic substance use, we compared 5 happiness exercises to two control exercises on participants' post-exercise TAR, as measured by Frederickson's Modified Open-Ended Twenty Statements Test (MOETST) and coded specifically for action tendencies.

Results: A negative binomial regression model indicated that momentary happiness reported before exercise completion was significantly and positively related to the breadth of action tendency repertoires (exp(b) = 1.05, exp(95% CI) [1.01, 1.09], p = 0.012). Two of five happiness exercises were associated with higher action tendency scores compared to the "Three Hard Things" control condition ("Savoring": exp(b) [95% CI]: 1.51 [1.10, 2.09], X(df = 1) = 6.36, adj. p = 0.038; "Rose, Thorn, Bud": 1.50 [1.09, 2.06], X(df = 1) = 6.19, adj. p = 0.038). None were significantly different from a neutral control. Effects were not significant for MOETST raw scores.

Conclusions: Results indicate that momentary happiness is associated with broadened action tendencies among individuals in recovery. Brief, self-administered happiness exercises can successfully broaden this aspect of the thought-action repertoire in this population.

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http://dx.doi.org/10.1016/j.genhosppsych.2019.06.006DOI Listing

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Is the thought-action repertoire a viable intervention target in substance use populations?

Gen Hosp Psychiatry

May 2020

Department of Psychiatry, Massachusetts General Hospital, 151 Merrimac Street, 6th Floor, Boston, MA 02114, USA; Harvard Medical School, 25 Shattuck Street, Boston, MA 02115, USA. Electronic address:

Objective: This study examined if general population findings of positive correlations between happiness and breadth of thought-action repertoire (TAR) hold in substance use populations, and tests if the TAR is a modifiable intervention target.

Methods: Using data from a randomized online survey on 468 adults in recovery from problematic substance use, we compared 5 happiness exercises to two control exercises on participants' post-exercise TAR, as measured by Frederickson's Modified Open-Ended Twenty Statements Test (MOETST) and coded specifically for action tendencies.

Results: A negative binomial regression model indicated that momentary happiness reported before exercise completion was significantly and positively related to the breadth of action tendency repertoires (exp(b) = 1.

View Article and Find Full Text PDF

The association between gratefulness and well-being is well established; however, few studies have examined the mechanisms that underlie this association. The broaden-and-build theory (Fredrickson, 1998, 2001) posits that positive emotions broaden individuals' momentary thought-action repertoires, which serve to build personal resources that can be drawn upon during future stressful encounters. Based on this theory, the current study examined whether gratefulness, a positive emotion, would build social and cognitive resources in terms of social connectedness and presence of meaning in life (i.

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